Individual
TAMI JO EBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6310 S ELM PL, BROKEN ARROW, OK 74011-4100
(918) 455-4386
Mailing address
6310 S ELM PL, BROKEN ARROW, OK 74011-4100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14744
OK
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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